Manual Handling Assessment -SUL

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Section A - Preliminary Assessment

• 1) Job / Task Description

• Note 1.
  Many manual handling operations will involve negligible risk. When considering if the operation presents a risk of injury, refer to the diagram from HSE guidelines, which refer to straight forward and infrequent operations.

• 2) Can the operation be avoided?

  Yes

  No

• 3) Can the operation be automated or mechanically assisted at reasonable cost?

  Yes

  No

• Note 2.
  If an operation can be avoided or automated/mechanically assisted at reasonable cost, then such control measures must be put in place. Where this is not the case, a full assessment will be required.

• Is a detailed assessment needed? (I.e is there a potential risk of injury and are HSE MAC guideline limits exceeded?)

  Yes

  No

• Note 3.
  If 'no' then the assessment need go no further. If 'yes' then a detailed assessment should be carried out. A competent person should carry out the assessment. Where an affirmative response is given then the action required should be stated in the table provided. After an action is completed , it should be signed off.

Manual Handling Assessment Form

Section B - Detailed Assessment

• Operations covered by this assessment (detailed description):

• Location(s):

• Personnel Involved:

• Date of Assessment:

  Date

The Tasks - Do they involve:

• Holding loads away from the trunk?

  Yes

  No

• Twisting?

  Yes

  No

• Stooping?

  Yes

  No

• Reaching upwards?

  Yes

  No

• Large vertical movements?

  Yes

  No

• Long carrying distances?

  Yes

  No

• Strenuous pushing or pulling?

  Yes

  No

• Unpredictable movement of loads?

  Yes

  No

• Repetitive handling?

  Yes

  No

• Insufficient rest or recovery?

  Yes

  No

• A work rate imposed by a process?

  Yes

  No

The Loads - Are they:

• Heavy?

  Yes

  No

• Bulky/Unwieldy?

  Yes

  No

• Difficult to grasp?

  Yes

  No

• Unstable/Unpredictable?

  Yes

  No

• Intrinsically harmful (e.g. sharp, hot)?

  Yes

  No

The Working Environment - Are there:

• Constraints on posture?

  Yes

  No

• Poor floors?

  Yes

  No

• Variations in level?

  Yes

  No

• Hot/Cold/Humid conditions?

  Yes

  No

• Strong air movements?

  Yes

  No

• Poor lighting conditions?

  Yes

  No

Individual Capability - Does the job:

• Require unusual capability?

  Yes

  No

• Hazard those with a health problem?

  Yes

  No

• Hazard those who are pregnant?

  Yes

  No

• Require special information/trainings?

  Yes

  No

Other Factors:

• Is movement or posture hindered by clothing or personal protective equipment?

  Yes

  No

Section C - Existing Control Measures / Safe System of Work

• List as bullet points; include details of training, any lifting equipment and PPE):

Section D - Overall Assessment of the Risk Injury:

• Are existing control measures satisfactory?

  Yes

  No

• Key To Risk
  
  Low Risk - Minor impact on health/damage (quickly repaired). Ensure controls are maintained.
  
  Medium Risk - Moderate impact to health/partial loss of operations. Look to improve control measures.
  
  High Risk - Disaster/very serious consequences/injury. Stop activity and implement immediate control measures to reduce the risk.

• Degree of risk?<br><br>

  Low Risk

  Medium Risk

  High Risk

• Are additional control measures required to reduce the level of risk to the lowest practicable level?

  Yes

  No

  N/A
Control Details

• Control Details:

• Add media

  Media

• Person Responsible:

• Target Date for Control Implementation:

  Date

• Date of Completion:

  Date

• Assessor Name:

  Sign

• Assessor Name:

  Sign

• Assessment Review Due Date:

  Date

ASSESSMENT REVIEW

• Date:

  Date

• Review Completed By:

  Sign

• Review Outcome (where significant changes have occurred, a new record sheet should be used):

• Next Assessment Review Date:

  Date